Abstract
Background: The presentation of an adnexal mass with a raised beta-human chorionic gonadotropin (β-hCG level) does not necessarily indicate a diagnosis of ectopic pregnancy. This article highlights an unusual case of benign cystic teratomas with β-hCG production, mimicking the presentation of an ectopic pregnancy. Case: A 28-year-old woman who had a 10-week period of amenorrhea presented with an acute abdomen and an increased β-hCG level. An ultrasound scan revealed features suggestive of an ectopic pregnancy. Results: The patient underwent right salpingo-oophorectomy (for torsion of an ovarian cyst) and a left cystectomy (for an ovarian cyst). There was no evidence of an ectopic pregnancy found during the surgery. Histopathology examination reported that she had bilateral mature cystic teratomas. Conclusions: Careful assessment and consideration of ovarian accidents or neoplasms is crucial, especially in the presence of an ovarian mass with an increased β-hCG level.
| Original language | English |
|---|---|
| Pages (from-to) | 252-254 |
| Number of pages | 3 |
| Journal | Journal of Gynecologic Surgery |
| Volume | 34 |
| Issue number | 5 |
| DOIs | |
| Publication status | Published - 1 Oct 2018 |
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Keywords
- Dermoid cyst
- Ectopic pregnancy
- Mature cystic teratoma
- β-hCG
ASJC Scopus subject areas
- Surgery
- Obstetrics and Gynaecology
Cite this
Bilateral Mature Cystic Teratoma Masquerading as an Ectopic Pregnancy : A Case Report and Review of the Literature. / Kah Teik, Chew; Abu, Muhammad Azrai; Ahmad, Mohd Faizal; Abdul Ghani, Nur Azurah.
In: Journal of Gynecologic Surgery, Vol. 34, No. 5, 01.10.2018, p. 252-254.Research output: Contribution to journal › Review article
}
TY - JOUR
T1 - Bilateral Mature Cystic Teratoma Masquerading as an Ectopic Pregnancy
T2 - A Case Report and Review of the Literature
AU - Kah Teik, Chew
AU - Abu, Muhammad Azrai
AU - Ahmad, Mohd Faizal
AU - Abdul Ghani, Nur Azurah
PY - 2018/10/1
Y1 - 2018/10/1
N2 - Background: The presentation of an adnexal mass with a raised beta-human chorionic gonadotropin (β-hCG level) does not necessarily indicate a diagnosis of ectopic pregnancy. This article highlights an unusual case of benign cystic teratomas with β-hCG production, mimicking the presentation of an ectopic pregnancy. Case: A 28-year-old woman who had a 10-week period of amenorrhea presented with an acute abdomen and an increased β-hCG level. An ultrasound scan revealed features suggestive of an ectopic pregnancy. Results: The patient underwent right salpingo-oophorectomy (for torsion of an ovarian cyst) and a left cystectomy (for an ovarian cyst). There was no evidence of an ectopic pregnancy found during the surgery. Histopathology examination reported that she had bilateral mature cystic teratomas. Conclusions: Careful assessment and consideration of ovarian accidents or neoplasms is crucial, especially in the presence of an ovarian mass with an increased β-hCG level.
AB - Background: The presentation of an adnexal mass with a raised beta-human chorionic gonadotropin (β-hCG level) does not necessarily indicate a diagnosis of ectopic pregnancy. This article highlights an unusual case of benign cystic teratomas with β-hCG production, mimicking the presentation of an ectopic pregnancy. Case: A 28-year-old woman who had a 10-week period of amenorrhea presented with an acute abdomen and an increased β-hCG level. An ultrasound scan revealed features suggestive of an ectopic pregnancy. Results: The patient underwent right salpingo-oophorectomy (for torsion of an ovarian cyst) and a left cystectomy (for an ovarian cyst). There was no evidence of an ectopic pregnancy found during the surgery. Histopathology examination reported that she had bilateral mature cystic teratomas. Conclusions: Careful assessment and consideration of ovarian accidents or neoplasms is crucial, especially in the presence of an ovarian mass with an increased β-hCG level.
KW - Dermoid cyst
KW - Ectopic pregnancy
KW - Mature cystic teratoma
KW - β-hCG
UR - http://www.scopus.com/inward/record.url?scp=85054510597&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85054510597&partnerID=8YFLogxK
U2 - 10.1089/gyn.2018.0022
DO - 10.1089/gyn.2018.0022
M3 - Review article
VL - 34
SP - 252
EP - 254
JO - Journal of Gynecologic Surgery
JF - Journal of Gynecologic Surgery
SN - 1042-4067
IS - 5
ER -